@Resident4t: Not quite! it just means that you're unable to sneak out, and have to stay where you are... it also means that the Star Spawn saw you, so for your horror check and then go onto fighting or fleeing... if you fail though, then yeah, I'm afraid you'll be knocked out!
@Resident4t: I'm afraid you'll have to sneak pass the Star Spawn if you want to move away... or just stay here and fight it, but I wouldn't recommend that :P
@MysteriousBob: You mean other than the fact that Dennis O'Neil referenced the name from Lovecraftian lore for the psychiatric hospital? Not a whole lot.
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